- Medicare Primary Care in Mattawa, WA

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Mattawa, Washington. The current practice location for is 210 Government Road, Mattawa, Washington. For appointments, you can reach them via phone at (509) 932-4499. The mailing address for is 210 Government Rd, Mattawa, Washington and phone number is (509) 932-4499.

is licensed to practice in Washington (license number ). The clinic also participates in the medicare program and its NPI number is 1699720797. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (509) 932-4499.

Contact Information

210 Government Road
Mattawa
WA 99349-0960
(509) 932-4499
(509) 932-5363

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location210 Government Road, Mattawa, Washington
Authorized Official Name and PositionDana S Fox (CEO/EXECUTIVE DIRECTOR)
Authorized Official Contact5099324499
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

210 Government Rd
Mattawa
WA 99349-5116

Ph: (509) 932-4499
210 Government Road
Mattawa
WA 99349-0960

Ph: (509) 932-4499

NPI Details:

NPI Number1699720797
Provider Enumeration Date05/24/2006
Last Update Date12/04/2024

Medicare PECOS Information:

Medicare PECOS PAC ID3274525837
Medicare Enrollment IDO20040401001562

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699720797NPI-NPPES
7035611OtherWADSHS FEE FOR SERVICE
67850OtherWALABOR & INDUSTRIES
501944OtherWAMEDICARE PTAN
7044167MedicaidWA
7406572OtherWADSHS MSS
7900657OtherWADSHS TAKE CHARGE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (Washington)Primary
363L00000XNurse Practitioner (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameDaniel E Sloane
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427003540
PECOS PAC ID: 1456346535
Enrollment ID: I20040417000631
Provider NameMara L Fusfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992871107
PECOS PAC ID: 2769408640
Enrollment ID: I20080424000531
Provider NameJennifer A Beaty
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134337785
PECOS PAC ID: 1254628571
Enrollment ID: I20160929001094
Provider NameJosilyn Brook Baugher
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285311951
PECOS PAC ID: 3577927516
Enrollment ID: I20230911000744
Provider NameSarah Michelle Charlton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700648102
PECOS PAC ID: 6002256138
Enrollment ID: I20240506003673
Provider NameSally Anne Myer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053098749
PECOS PAC ID: 5698126423
Enrollment ID: I20240523001108
Provider NameSimar Kaur
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811670276
PECOS PAC ID: 7214470806
Enrollment ID: I20240624004491
Provider NameHeather L Balser
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184931420
PECOS PAC ID: 1254879331
Enrollment ID: I20240820004223
Provider NameDaniel Jentges
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972073526
PECOS PAC ID: 8527508738
Enrollment ID: I20240913001408

Reviews and Comments


Clinic/Center in Mattawa, WA


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 206 Government Rd, Mattawa, WA 99349
Phone: 509-932-4499    Fax: 509-932-5363

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 601 Government Way, Mattawa, WA 99349
Phone: 509-932-3535    Fax: 509-488-9939

Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 101 S William Ave, Mattawa, WA 99349
Phone: 509-932-4499    Fax: 509-932-5363

Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 601 Government Way, Mattawa, WA 99349
Phone: 509-488-5256    Fax: 509-488-9939

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.